| Item Number | Description | Schedule Fee |
|---|---|---|
| 37016 | Cystectomy, including prostatectomy and pelvic lymph node dissection, other than a service associated with a service to which items 37000, 37014, 37015, 37209, 35551 or 36502 applies (Anaes.) (Assist.) |
$2,327.55 |
| Total: | $2,327.55 | |